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NEWSTART MEDICAL GROUP INC

Clinic/Center, Rural Health·WEIMAR, CA·NPI: 1588072698Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$39.3M

$39,278,931

Total Claims

530K

Beneficiaries

322K

1.6 claims/patient

Avg Cost/Claim

$74

Monthly Spending Trend

Yearly Spending

2018
$3.8M
-4%
2019
$3.6M
+41%
2020
$5.1M
+29%
2021
$6.6M
-10%
2022
$6.0M
+18%
2023
$7.0M
+2%
2024
$7.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 38 distinct procedure codes. The top code (T1015 (Clinic visit/encounter, all-inclusive)) accounts for 64% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$25.0M

135K claims · 63.8%

Your Cost: $185.45/claim|Median: $121.16
1.5× median
00003Normal range

Anesthesia services

$12.7M

55K claims · 32.3%

Your Cost: $229.60/claim|Median: $223.77
1.0× median
90832Normal range

Psychotherapy, 30 minutes

$666K

31K claims · 1.7%

Your Cost: $21.26/claim|Median: $41.28
0.5× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$291K

87K claims · 0.7%

Your Cost: $3.35/claim|Median: $37.81
0.1× median
G0467Top 10%

Federally qualified health center visit, mental health

$241K

2,980 claims · 0.6%

Your Cost: $80.85/claim|Median: $21.91
3.7× median
99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$206K

44K claims · 0.5%

Your Cost: $4.70/claim|Median: $53.41
0.1× median
G0470Top 25%

Chronic care management services, FQHC/RHC

$67K

654 claims · 0.2%

Your Cost: $101.91/claim|Median: $45.95
2.2× median
98940Normal range

$36K

12K claims · 0.1%

Your Cost: $3.11/claim|Median: $14.55
0.2× median
90834Normal range

Psychotherapy, 45 minutes

$14K

507 claims · 0.0%

Your Cost: $27.96/claim|Median: $63.65
0.4× median
99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$12K

511 claims · 0.0%

Your Cost: $23.47/claim|Median: $57.85
0.4× median
99212Normal range

Office/outpatient visit, low complexity

$9K

8,557 claims · 0.0%

Your Cost: $1.07/claim|Median: $25.06
0.0× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$4K

284 claims · 0.0%

Your Cost: $14.10/claim|Median: $84.03
0.2× median
99215Normal range

Office/outpatient visit, high complexity

$4K

277 claims · 0.0%

Your Cost: $12.80/claim|Median: $74.09
0.2× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$1K

460 claims · 0.0%

Your Cost: $3.15/claim|Median: $30.04
0.1× median
G2025Normal range

$1K

184 claims · 0.0%

Your Cost: $7.69/claim|Median: $15.63
0.5× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$1K

220 claims · 0.0%

Your Cost: $4.55/claim|Median: $40.11
0.1× median
Q3014Normal range

Telehealth originating site facility fee

$713

508 claims · 0.0%

Your Cost: $1.40/claim|Median: $15.37
0.1× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$713

464 claims · 0.0%

Your Cost: $1.54/claim|Median: $9.56
0.2× median
87811Normal range

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$490

408 claims · 0.0%

Your Cost: $1.20/claim|Median: $30.53
0.0× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$420

45 claims · 0.0%

Your Cost: $9.33/claim|Median: $9.70
1.0× median
81003Normal range

Urinalysis, automated without microscopy

$104

220 claims · 0.0%

Your Cost: $0.47/claim|Median: $1.48
0.3× median
81025Normal range

Urine pregnancy test

$78

85 claims · 0.0%

Your Cost: $0.92/claim|Median: $4.81
0.2× median
20552Normal range

$0

188 claims · 0.0%

Your Cost: $0.00/claim|Median: $23.11
3074FNormal range

$0

62K claims · 0.0%

Your Cost: $0.00/claim|Median: $0.11
3075FNormal range

$0

7,057 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.15
3077FNormal range

$0

4,488 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.12
J3301Normal range

Injection, triamcinolone acetonide, per ten milligrams

$0

661 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.91
92552Normal range

Pure tone audiometry, air only, each ear

$0

113 claims · 0.0%

Your Cost: $0.00/claim|Median: $12.63
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$0

323 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.80
J0696Normal range

$0

53 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.34
3079FNormal range

$0

13K claims · 0.0%

Your Cost: $0.00/claim|Median: $0.12
3078FNormal range

$0

59K claims · 0.0%

Your Cost: $0.00/claim|Median: $0.08
3080FNormal range

$0

2,620 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.16
87880Normal range

Streptococcus, Group A, rapid antigen detection

$0

18 claims · 0.0%

Your Cost: $0.00/claim|Median: $11.48
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$0

21 claims · 0.0%

Your Cost: $0.00/claim|Median: $29.03
90661Normal range

$0

73 claims · 0.0%

Your Cost: $0.00/claim|Median: $14.37
99393Normal range

Preventive medicine, established patient, age 5-11

$0

28 claims · 0.0%

Your Cost: $0.00/claim|Median: $74.82
Q0091Normal range

$0

61 claims · 0.0%

Your Cost: $0.00/claim|Median: $11.15

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